Increasing potential risks of contamination from repetitive use of endoscope.

Abstract:

BACKGROUND:Medical devices inserted into the human body can be divided into single-use devices and reusable medical devices (RMDs) depending on the method of use. RMDs are applied to >1 patient, and users reprocess them prior to repeat use. Therefore, reprocessing of RMDs has become more difficult, and issues related to infection risk have become more prevalent. METHODS:Research was performed to compare differences in surface alterations between not-aged (NA) samples and accelerated-aging (AA) samples. NA and AA samples were exposed to potential contaminants and treated with the same cleaning conditions. Then the residual contaminants were analyzed, and adhesion characteristics were investigated. RESULTS:Significant differences between the 2 sample groups were observed in the pattern of physical surface alterations. Similar to the endoscope for clinical use, a deep crack was found in the surface of the AA sample. According to the binding affinity test, highly likely potential contaminants were found more frequently on AA samples. CONCLUSION:The results suggest the necessity of limiting the duration of time that RMDs may be used, considering the potential risk of infection from repetitive use of RMDs, and also raised the possibility of applying this simulation model of AA. This methodology can be applied to various RMDs, including endoscopes.

journal_name

Am J Infect Control

authors

Lee DH,Kim DB,Kim HY,Baek HS,Kwon SY,Lee MH,Park JC

doi

10.1016/j.ajic.2015.01.017

subject

Has Abstract

pub_date

2015-05-01 00:00:00

pages

e13-7

issue

5

eissn

0196-6553

issn

1527-3296

pii

S0196-6553(15)00035-8

journal_volume

43

pub_type

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